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Lookup NU author(s): Dr Michele Castelli
This is the authors' accepted manuscript of an article that has been published in its final definitive form by Sage Publications Ltd, 2019.
For re-use rights please refer to the publisher's terms and conditions.
Informed by the theoretical perspective of the political economy of health and in the context of the recommendations of World Health Organization’s Commission on Social Determinants of Health, this article examines the political explanations of geographical health inequities in 2 extremely different settings: Ghana and England. Based on the “north-south health divide” in the 2 countries, the article finds that, while the drivers of health inequities in both countries are policy driven, historically situated contextual factors (colonialism in the case of Ghana and deindustrialization in the case of England) offer explanations for health inequities in both countries. We conclude by discussing the importance of paying attention to structural factors such as colonialism for understanding contemporary health inequities in formerly colonized countries such as Ghana.
Author(s): Alhassan JAK, Castelli M
Publication type: Article
Publication status: Published
Journal: International Journal of Health Services
Year: 2019
Volume: 50
Issue: 1
Pages: 110-122
Print publication date: 01/01/2020
Online publication date: 18/09/2019
Acceptance date: 02/08/2019
Date deposited: 10/10/2019
ISSN (print): 0020-7314
ISSN (electronic): 1541-4469
Publisher: Sage Publications Ltd
URL: https://doi.org/10.1177/0020731419876786
DOI: 10.1177/0020731419876786
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